Individual
DR. RYAN WILLIAM HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2241 STATE ST STE C, NEW ALBANY, IN 47150-4949
(812) 945-5100
Mailing address
200 DOE RUN, SELLERSBURG, IN 47172-9738
(502) 526-3445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012990A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2018
Last updated
01/05/2021
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